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NPI Code Detail

MEDICARE: JULIO PIMENTEL LCSW

MEDICARE: JULIO PIMENTEL LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW122953CA

General Provider Information

NPI Number : 1366998882
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO PIMENTEL LCSW
Provider Business Mailing Address
First Line : 3724 DUBLIN WAY
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1601
Country : US
Telephone Number : 626-536-4042
Fax Number :
Provider Business Practice Location Address
First Line : 21125 CENTRE POINTE PKWY
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91350-2994
Country : US
Telephone Number : 855-435-3801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2016
Last Update Date : 03/19/2025

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